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Division of Workers' Compensation (DWC)

Medical treatment utilization schedule (MTUS) - disclosure of conflicts of interest

To ensure California’s injured workers have access to effective and appropriate treatment, the MTUS regulations also created a medical evidence evaluation advisory committee (MEEAC), which meets regularly to review the latest medical evidence and advise the division about incorporating new evidence-based guidelines into its MTUS.

MEEAC provides recommendations to the administrative director on matters concerning the MTUS and advises the DWC medical director on potential revisions, updates and supplements that will keep California's treatment guidelines current.

MEEAC's recommendations are advisory in nature and do not constitute scientifically based evidence. The MEEAC members represent various medical fields. The regulations concerning the MEEAC are set forth in § 9792.26 of Title 8, California Code of Regulations.

(MEEAC) members participating in the MTUS regulations update which became effective July 18, 2009:

Melvin Belsky, MD
Medical Director, Corporate Workers' Compensation, Safeway, Inc.
Specialty - Physical Medicine and Rehabilitation
National, Regional, Local Committee Affiliations - Member, California Consortium to Promote Stay - At - Work and Return - to - Work
Financial/Non - Financial Conflict of Interest - None
Research Grants and Other Support - None
Other Stated Conflicts - None

Mary Foto, OT, FAOTA, CCM
President of the Foto Group, a medical review company
Specialty - Occupational Therapy
National, Regional, Local Committee Affiliations - Occupational Therapy Association of California; Certified Case Manager; Health Care Provider Advisory Committee for the American Medical Association - Resource Utilization Committee
Financial/Non - Financial Conflict of Interest - The Foto Group contracts with Maximus CHDR to perform Medicare reconsiderations, Integriguard to perform Medicare audits, and is in the process of subcontracting with Lockheed Martin on a US Department of Justice project.
Research Grants and Other Support - None
Other Stated Conflicts - None

Gary Globe, DC
Academic Dean & Provost Cleveland Chiropractic College
Specialty - Chiropractor
National, Regional, Local Committee Affiliations - None
Financial/Non - Financial Conflict of Interest - None
Research Grants and Other Support - Uniheath grant supported clinical trial of manipulation in patients with Hip Osteoarthritis
Other Stated Conflicts - None

Scott Haldeman, MD
Clinical Professor, Department of Neurology, UCI; Adjunct Professor, Dept of Epidemiology, UCLA
Specialty - Neurology
National, Regional, Local Committee Affiliations - American Academy of Neurology, North American Spine Society, The International Society For The Study Of The Lumbar Spine, The American back Society, The World Federation of Chiropractic
Financial/Non - Financial Conflict of Interest - Clinical Practice
Research Grants and Other Support - None
Other Stated Conflicts - None

Frank Kase, DPM
Past President California Podiatric Medical Association; President, Burbank Podiatry Associated Group, A Professional Corporation.
Specialty - Podiatric Medicine, Surgery
National, Regional, Local Committee Affiliations - None
Financial/Non - Financial Conflict of Interest - Clinical Practice
Research Grants and Other Support - None
Other Stated Conflicts - None

Josh Kirz, PhD
Stanford University (faculty); EK utilization review, Newton Medical Group
Specialty - Psychology
National, Regional, Local Committee Affiliations - California Society of Industrial Medicine and Surgery
Financial/Non - Financial Conflict of Interest - None
Research Grants and Other Support - None
Other Stated Conflicts - None

Ronald Koretz, MD
Emeritus Professor Clinical Medicine Olive View - UCLA Medical Center, Sylmar, CA
Specialty - Internal Medicine
National, Regional, Local Committee Affiliations - Cochrane Collaboration
Financial/Non - Financial Conflict of Interest - None
Research Grants and Other Support - None
Other Stated Conflicts - None

Sean Mackey, MD, PhD
Associate Professor, Anesthesia Chief, Division of Pain Management, Stanford University
Specialty - Anesthesia and Pain Management
National, Regional, Local Committee Affiliations - None
Financial/Non - Financial Conflict of Interest - None
Research Grants and Other Support - National Institutes of Health - National Institute of Neurological Disorders and Stroke, National Institutes of Health - National Institute of Drug Abuse, Lilly, American Fibromyalgia Syndrome Association
Other Stated Conflicts - None

Peter J. Mandell, MD
Chair, Workers' Compensation Committee, California Orthopaedic Association
Specialty - Orthopedic Surgery
National, Regional, Local Committee Affiliations - California Orthopedic Association, Chair American Academy of Orthopaedic Surgeons Committee on Professionalism
Financial/Non - Financial Conflict of Interest - None
Research Grants and Other Support - None
Other Stated Conflicts - None

Samuel Miles, MD
Associate Clinical Professor of Psychiatry, UCLA School of Medicine, Vice Clinical Chief Psychiatry Cedar Sinai Medical Center
Specialty - Psychiatry
National, Regional, Local Committee Affiliations - Council - Southern California Psychiatric Society
Financial/Non - Financial Conflict of Interest - Private Practice
Research Grants and Other Support - None
Other Stated Conflicts - None

Praveen Mummaneni, MD
Associate Professor UCSF
Specialty - Neurosurgery
National, Regional, Local Committee Affiliations - California Association of Neurological Surgeons Northern California  Regional Director
Financial/Non - Financial Conflict of Interest - Consultant: Medtronic & Depuy Spine, Royalty: Depuy Spine
Research Grants and Other Support - Medtronic and Depuy Spine
Other Stated Conflicts - None

Bernyce Peplowski, MD
Executive Vice - President and Chief Medical Officer for The Zenith Insurance
Specialty - Occupational and Environmental Medicine
National, Regional, Local Committee Affiliations - None
Financial/Non - Financial Conflict of Interest - None
Research Grants and Other Support - None
Other Stated Conflicts - None

Joshua Prager, MD
Director, Center for Rehabilitation of Pain Syndromes at UCLA
Specialty - Anesthesia and Pain Management, Internal Medicine
National, Regional, Local Committee Affiliations - None
Financial/Non - Financial Conflict of Interest - Pfizer, Lilly, Medtronic Speakers Bureau
Research Grants and Other Support - None
Other Stated Conflicts - None

Ted Priebe, OMD
Doctor of Oriental Medicine/ Licensed Acupuncturist, Ted Priebe Inc.
Specialty - Acupuncture (Needling Therapy)
National, Regional, Local Committee Affiliations - Approved Education Provider for California Worker's Compensation, Qualified Medical Evaluator California Acupuncture Board; National Certification Commission for Acupuncture & Oriental Medicine, CEO of the National Oriental Medicine Accreditation Agency), Board Member, National Guild for Acupuncture and Oriental Medicine, and the National Board of Chinese Orthopedics
Financial/Non - Financial Conflict of Interest - Ted Priebe Inc.
Research Grants and Other Support - None
Other Stated Conflicts - None

Marcia Sablan, MD
Sablan Medical Clinic, Co - owner
Specialty - Family Practice
National, Regional, Local Committee Affiliations - None
Financial/Non - Financial Conflict of Interest - Clinical Practice
Research Grants and Other Support - None
Other Stated Conflicts - None

Leslie Torburn, DPT
Owner, Silhouette Consulting
Specialty - Physical Therapy
National, Regional, Local Committee Affiliations - California Physical Therapy Association
Financial/Non - Financial Conflict of Interest - Contract with State Compensation Insurance Fund to perform Utilization Review
Research Grants and Other Support - None

January 2010